Individual provider Active NPI

Ryota Takahara, RBT

  • Behavior Technician
  • Waimanalo, HI
National Provider Identifier
1346757283
Registry record updated Dec 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-17-30880 Issued in HI
Practice address
41-611 Inoaole St
Waimanalo, HI 96795-1211
Phone
(808) 892-4059
NPI assigned
Dec 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-17-30880 HI Primary

Addresses

Primary practice location

41-611 Inoaole St
Waimanalo, HI 96795-1211

Mailing address

945 Kapahulu Ave Apt B
Honolulu, HI 96816-6501
Phone (808) 436-6104

Other identifiers 1

IdentifierTypeStateIssuer
RBT-17-30880OtherHIBEHAVIOR ANALYSIS CERTIFICATION BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-17-30880HIMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Mau Loa Learning Behavior Technician Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514678400000",
    "number": "1346757283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 KAPAHULU AVE APT B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968166501",
            "telephone_number": "808-436-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-611 INOAOLE ST",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "967951211",
            "telephone_number": "808-892-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAHARA",
        "first_name": "RYOTA",
        "name_prefix": "Mr.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-31",
        "last_updated": "2017-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "RBT-17-30880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYSIS CERTIFICATION BOARD",
            "identifier": "RBT-17-30880",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waimanalo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.